About a forming system of continuous medical education in Russia in opinions of doctors and health care managers in Far-East Federal region

Abstract

To identify awareness and accepting changes in the system of medical education, a sociological survey of medical workers of the Far Eastern Federal District was conducted. Methods. The selection of the units was carried out by a simple random sampling method. The follow-up period was 2.5 years (20132015). The study involved 174 doctors and 167 public health officials. Primary information was collected by questionnaire. Results. Among the doctors surveyed, more than half (52.9%) did not qualify, 71.3% did not leave the region for professional improvement or retraining, 86.2% felt the need for new information on their specialty. 11.5% of respondents did not use the Internet. Half of all respondents were negative to the planned abolition of certification and the introduction of the standard of continuous medical education, and a third was difficult to answer this question. At the same time, 19.1% of respondents noted the need to improve the level of professional training of personnel under the present conditions. Conclusions. By the end of the initial phase of the reform of medical education, the bulk of the target audience remains unprepared. The reasons for the rejection of the new system are an increased level of distrust of specialists to the actions of the Ministry of Health of Russia, as well as their low motivation to change the education system. Expected employee turnover, including the change of generations, the low level of electronic communication of the Far East creates additional difficulties in the successful implementation of the concept of the continuous medical education.